Get Cms-437a 2012

The CMS-437A form is essential for rehabilitation units seeking exclusion from Medicare’s acute care hospital prospective payment system. This guide provides clear, step-by-step instructions on how to complete the CMS-437A online, ensuring accuracy and compliance in your application process.

Follow the steps to successfully complete the CMS-437A online.

1. Press the ‘Get Form’ button to obtain the CMS-437A and open it in the editor.
2. Fill in the related Medicare provider number at the designated field. Ensure this number is accurate as it connects your facility to Medicare services.
3. Enter the facility name and complete address, including city, state, and zip code, in the appropriate fields provided. This identifies the location of the rehab unit.
4. Input the room numbers within the unit to specify where rehabilitation services are provided.
5. Indicate the total number of beds available in the unit, highlighting your capacity to serve patients.
6. Record the survey date accurately as it helps in the tracking of your application’s progress.
7. For the cost reporting period, detail the start and end dates clearly. Use the MM/DD/YYYY format to avoid confusion.
8. Complete all compliance criteria by answering yes, no, or not applicable for each item in the checklist. Ensure that all responses are consistent with your facility's practices.
9. Once all sections are filled out, carefully review the document for any errors or omissions.
10. Select the option to save your completed form and choose whether to download, print, or share the CMS-437A as needed.

Begin completing your CMS-437A online today to ensure your rehabilitation unit meets necessary Medicare requirements.